Care Coordination & Scheduling Specialist

Hugh Chatham Health, Inc.

Macon (GA)

On-site

USD 29,000 - 43,000

Full time

5 days ago

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Job summary

Advocate Health is seeking a team-oriented administrative professional for the 03454 AHNMG Pediatric Developmental & Behavioral Health department in Macon, GA. The role focuses on coordinating referrals, obtaining authorizations, and guiding patients to appropriate providers within their insurance network.

Responsibilities include scheduling, reviewing benefits, preparing financial estimates, and ensuring care gaps are closed.

Qualifications

High School Diploma or GED required.
Computer experience required.
Thorough understanding of Insurance coverage (FSC/Coverage/Plan types) and Medical Necessity policies preferred.
Knowledge of medical records software preferred.
Customer service experience required.

Responsibilities

Completes referrals for patients and coordinates with referring and receiving practices and/or departments.
May coordinate and prepare financial estimates for patients.
Obtains all authorizations needed.
Directs patients to providers in their insurance plan.
Reviews benefits and educates patient on insurance coverage.
Coordinates and schedules surgical procedures, diagnostic testing, or other services within various departments with internal and ancillary providers.
Reviews schedules and confirms schedules are accurate and time is properly allocated.
Follows up on all referrals to ensure no care gaps.